Individual
MARK POPOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
342 COTTONWOOD CREEK CIR, CANTON, GA 30114-9006
(678) 608-5201
Mailing address
342 COTTONWOOD CREEK CIR, CANTON, GA 30114-9006
(678) 608-5201
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
3581
GA
Other
Enumeration date
08/12/2014
Last updated
08/25/2014
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